Device for guiding an appliance

• US 6,537,284 B1
• Filed: 08/15/2000
• Issued: 03/25/2003
• Est. Priority Date: 10/29/1998
• Status: Expired due to Fees

• Current Assignee: Kanji Inoue
• Original Assignee: Kanji Inoue
• Inventors: Inoue, Kanji
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): Priddy, Michael B.
• Application Number:
  US09/581,963
• Time in Patent Office: 952 Days
• Field of Search: 623/1.11, 623/1.23, 606/108, 606/195, 606/198, 604/284
• US Class Current: 606/108
• CPC Class Codes: A61F 2/07 Stent-grafts
• CPC Class Codes: A61F 2/89 the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
• CPC Class Codes: A61F 2/954 for placing stents or stent-grafts in a bifurcation
• CPC Class Codes: A61F 2/962 having an outer sleeve
• CPC Class Codes: A61F 2002/061 provided with means for allowing access to secondary lumens
• CPC Class Codes: A61F 2002/065 Y-shaped blood vessels
• CPC Class Codes: A61F 2002/9511 the retaining means being filaments or wires

Abstract

A device for guiding a branched artificial blood vessel 1 having a tubular main body 5 with collapsible/restorable elasticity and a branch portion 6 with collapsible/restorable elasticity which branches from a part of the main body 5 with its internal space communicating with the main body 5, which artificial blood vessel 1 has been transferred as collapsed in a main blood vessel 2 to a branched part 4 branching a branch blood vessel 3 from the main blood vessel 2, the device being utilized in inserting the branch portion 6 of the artificial blood vessel 1 into the branch blood vessel 3, the device comprising an operating rod 9a inserted into the main body 5 from a trailing open end thereof and operable for rotation by hand, a guiding rod 9b continuously connected to the operating rod 9a so as to be capable of turning around with rotation of the operating rod 9a and having a leading end extending to an open end of the branch portion, and mooring means 9c for releasably mooring the branch portion by a portion adjacent the open end thereof to the guiding rod 9b, wherein when the main body is moved backward with the guiding rod 9b made to assume a predetermined position by turning, the branch portion 6 accompanying the guiding rod 9b is capable of advancing into the branch blood vessel 3 together with the guiding rod 9b.

Claims

1. A device for guiding a branched appliance having a tubular main body with collapsible/restorable elasticity and a branch portion with collapsible/restorable elasticity which branches from a part of the main body with its internal space communicating with the main body, which appliance has been transferred in a collapsed state in a main blood vessel to a branched part branching a branch blood vessel from the main blood vessel, the device being utilized in inserting the branch portion of the appliance into the branch blood vessel, said device comprising:

an operating rod insertable into the main body from a trailing open end thereof and operable for rotation by hand,

a guiding rod continuously connected to the operating rod so as to be capable of turning around with rotation of the operating rod and having a leading end extendable to an open end of the branch portion, and

mooring means for releasably mooring the branch portion by a portion adjacent the open end thereof to the guiding rod,

wherein the device is usable such that when the main body is moved backward with the guiding rod made to assume a predetermined position by turning, the branch portion accompanying the guiding rod is capable of advancing into the branch blood vessel together with the guiding rod, and

wherein the operating rod and the guiding rod are formed by turning up a flexible wire rod into a loop having a trailing side forming the operating rod and a leading side forming the guiding rod.

2. The device as set forth in claim 1, wherein the leading side and the trailing side of the loop are in contact with each other and the contact portion is fixed.

3. The device as set forth in claim 2, wherein the fixing of the contact portion is releasably made with a snare wire.

4. The device as set forth in claim 1, wherein at least a portion of the loop protrudes beyond a leading open end of the main body.

5. The device as set forth in claim 1, wherein:

the guiding rod comprises a tube and a guiding wire retractably accommodated in the tube with its leading end protruding from a leading end of the tube; and

the appliance is moored to the tube.

6. The device as set fourth in claim 5, wherein:

the mooring means comprises a mooring wire forming an openable closed circuit in cooperation with the tube, the mooring wire being capable of mooring the branch portion when the closed circuit is formed by inserting the mooring wire into a portion of the branch portion and being capable of releasing from a mooring state when the closed circuit is opened by drawing the mooring wire out of the branch portion; and

at least a portion of the mooring wire extending from a location of the tube adjacent a mooring position and toward a trailing side of the tube is positioned outside of the guiding wire accommodating bore.

7. The device as set forth in claim 6, wherein the tube has a portion provided with a window exposing the guiding wire accommodating bore and a mooring wire passing portion formed on an outer periphery of the tube at a location away from the window toward the trailing side of the tube, the mooring wire being passed through the mooring wire passing portion and drawn into the guiding wire accommodating bore through the window to form the closed circuit in cooperation with the tube.

8. The device as set forth in claim 6, wherein the tube is provided with two longitudinally-spaced mooring wire passing portions attached to the outer periphery thereof through which the mooring wire is passed to form the closed circuit in cooperation with the tube.

9. The device as set fourth in claim 6, wherein the tube is provided with two longitudinally-spaced windows exposing the guiding wire accommodating bore, the mooring wire being drawn into the guiding wire accommodating bore through a first of said windows situated toward a trailing side of the tube and exposed through a second of said windows situated toward a leading side of the tube to form the closed circuit defined by the window situated toward the leading side and the tube.

10. The device as set fourth in claim 6, wherein the tube is provided with three longitudinally-spaced windows exposing the guiding wire accommodating bore, the mooring wire being drawn into the guiding wire accommodating bore through a first of said windows situated toward a trailing side of the tube, then drawn out of the tube through a second intermediate one of said windows, and again drawn into the guiding wire accommodating bore through a third one of said windows situated toward a leading side of the tube, to form the closed circuit defined by the drawn-out portion of the mooring wire and the tube.

11. The device as set forth in claim 6, wherein:

the tube comprises a pair of tube elements integrally related to each other and having respective wire accommodating bores, one bore serving as a guiding wire accommodating bore accommodating the guiding wire, the other bore serving as a mooring wire accommodating bore accommodating the mooring wire; and

the tube element having the mooring wire accommodating bore is provided with a window exposing the mooring wire accommodating bore to form the closed circuit defined by the window and the corresponding tube element.

12. The device as set forth in claim 6, wherein the tube defines therein two wire accommodating bores separated from each other with an intermediate partition wall, one serving as a guiding wire accommodating bore accommodating the guiding wire, the other serving as a mooring wire accommodating bore accommodating the mooring wire, and is provided with a window exposing the mooring wire accommodating bore to form the closed circuit defined by the window and the tube.

13. The device as set forth in claim 1, wherein the mooring means serves also as collapsing means for maintaining the branch portion of the appliance in the collapsed state, the mooring means being capable of allowing restoration of the branch portion and releasing the branch portion from its moored state simultaneously.

14. A device for guiding a branched appliance having a tubular main body with collapsible/restorable elasticity and a branch portion with collapsible/restorable elasticity which branches from a part of the main body with its internal space communicating with the main body, which appliance has been transferred in a collapsed state in a main blood vessel to a branched part branching a branch blood vessel from the main blood vessel, the device being utilized in inserting the branch portion of the appliance into the branch blood vessel, said device comprising:

an operating rod insertable into the main body from a trailing open end thereof and operable for rotation by hand,

a guiding rod continuously connected to the operating rod so as to be capable of turning around with rotation of the operating rod and having a leading end extendable to an open end of the branch portion, and

mooring means for releasably mooring the branch portion by a portion adjacent the open end thereof to the guiding rod,

wherein the device is usable such that when the main body is moved forward with the guiding rod made to assume a predetermined position by turning, the branch portion accompanying the guiding rod is capable of advancing into the branch blood vessel together with the guiding rod, and

wherein the operating rod and the guiding rod are formed by bending a flexible wire rod into a curve having a trailing side forming the operating rod and a leading side forming the guiding rod.

15. The device as set forth in claim 14, wherein the guiding rod comprises a tube having a guiding wire accommodating bore, and a guiding wire retractably accommodated in the guiding wire accommodating bore of the tube with its leading end protruding from a leading end of the tube.

16. The device as set forth in claim 15, wherein:

the mooring means comprises a mooring wire forming an openable closed circuit in cooperation with the tube, the mooring wire being capable of mooring the branch portion when the closed circuit is formed by inserting the mooring wire into a portion of the branch portion and being capable of releasing from a mooring state when the closed circuit is opened by drawing the mooring wire out of the branch portion; and

at least a portion of the mooring wire extending from a location of the tube adjacent a mooring position and toward a trailing side of the tube is positioned outside of the guiding wire accommodating bore.

17. The device as set forth in claim 16, wherein the tube has a portion provided with a window exposing the guiding wire accommodating bore and a mooring wire passing portion formed on an outer periphery of the tube at a location away from the window toward the trailing side of the tube, the mooring wire being passed through the mooring wire passing portion and drawn into the guiding wire accommodating bore through the window to form the closed circuit in cooperation with the tube.

18. The device as set forth in claim 16, wherein the tube is provided with two longitudinally-spaced mooring wire passing portions attached to the outer periphery thereof through which the mooring wire is passed to form the closed circuit in cooperation with the tube.

19. The device as set forth in claim 16, wherein the tube is provided with two longitudinally-spaced windows exposing the guiding wire accommodating bore, the mooring wire being drawn into the guiding wire accommodating bore through the window situated toward a trailing side of the tube and exposed through the window situated toward a leading side of the tube to form the closed circuit defined by the window situated toward the leading side and the tube.

20. The device as set forth in claim 16, wherein the tube is provided with three longitudinally-spaced windows exposing the guiding wire accommodating bore, the mooring wire being drawn into the guiding wire accommodating bore through the window situated toward a trailing side of the tube, then drawn out of the tube through the intermediate window, and again drawn into the guiding wire accommodating bore through the window situated toward a leading side of the tube, to form the closed circuit defined by the drawn-out portion of the mooring wire and the tube.

21. The device as set forth in claim 16, wherein:

the tube comprises a pair of tube elements integrally related to each other and having respective wire accommodating bores, one bore serving as a guiding wire accommodating bore accommodating the guiding wire, the other bore serving as a mooring wire accommodating bore accommodating the mooring wire; and

the tube element having the mooring wire accommodating bore is provided with a window exposing the mooring wire accommodating bore to form the closed circuit defined by the window and the corresponding tube element.

22. The device as set forth in claim 16, wherein the tube defines therein two wire accommodating bores separated from each other with an intermediate partition wall, one serving as a guiding wire accommodating bore accommodating the guiding wire, the other serving as a mooring wire accommodating bore accommodating the mooring wire, and is provided with a window exposing the mooring wire accommodating bore to form the closed circuit defined by the window and the tube.

23. The device as set forth in claim 14, wherein the mooring means serves also as collapsing means for maintaining the branch portion of the appliance in the collapsed state, the mooring means being capable of allowing restoration of the branch portion and releasing the branch portion from its moored state simultaneously.

24. A device for guiding an appliance comprising a guiding rod, and mooring means for releasably mooring the appliance to the guiding rod,

the guiding rod comprising a tube and a guiding wire retractably accommodated in the tube with its leading end protruding from a leading end of the tube,

the mooring means comprising a mooring wire forming an openable closed circuit in cooperation with the tube, the mooring wire being capable of mooring the appliance when the closed circuit is formed by inserting the mooring wire into a portion of the appliance and being capable of releasing from a mooring state when the closed circuit is opened by drawing the mooring wire out of the appliance,

wherein at least a portion of the mooring wire extending from a location on the tube adjacent the mooring position toward a trailing side of the tube is positioned outside of a guiding wire accommodating bore, and

wherein the tube has a portion provided with a window exposing the guiding wire accommodating bore and a mooring wire passing portion formed on an outer periphery of the tube at a location away from the window toward a trailing side of the tube, the mooring wire being passed through the mooring wire passing portion and drawn into the guiding wire accommodating bore through the window to form the closed circuit in cooperation with the tube.

25. A device for guiding an appliance comprising a guiding rod, and mooring means for releasably mooring the appliance to the guiding rod,

the guiding rod comprising a tube and a guiding wire retractably accommodated in the tube with its leading end protruding from a leading end of the tube,

the mooring means comprising a mooring wire forming an openable closed circuit in cooperation with the tube,

wherein at least a portion of the mooring wire that extends from the closed circuit toward the trailing side is drawn out of the tube,

the mooring wire being capable of mooring the appliance when the closed circuit is formed by inserting the mooring wire into a portion of the appliance and being capable of releasing from a mooring state when the closed circuit is opened by drawing the mooring wire out of the appliance,

wherein at least a portion of the mooring wire extending from a location on the tube adjacent the mooring position toward a trailing side of the tube is positioned outside of a guiding wire accommodating bore,

wherein the tube is provided with two longitudinally-spaced mooring wire passing portions attached to the outer periphery thereof through which the mooring wire is passed to form the closed circuit in cooperation with the tube.

26. A device for guiding an appliance comprising a guiding rod, and mooring means for releasably mooring the appliance to the guiding rod,

the guiding rod comprising a tube and a guiding wire retractably accommodated in the tube with its leading end protruding from a leading end of the tube,

the mooring means comprising a mooring wire forming an openable closed circuit in cooperation with the tube, the mooring wire being capable of mooring the appliance when the closed circuit is formed by inserting the mooring wire into a portion of the appliance and being capable of releasing from a mooring state when the closed circuit is opened by drawing the mooring wire out of the appliance,

wherein at least a portion of the mooring wire extending from a location on the tube adjacent the mooring position toward a trailing side of the tube is positioned outside of a guiding wire accommodating bore, and

wherein the tube is provided with two longitudinally-spaced windows exposing the guiding wire accommodating bore, the mooring wire being drawn into the guiding wire accommodating bore through a first one of said windows situated toward a trailing side of the tube and exposed through a second one of said windows situated toward a leading side of the tube to form the closed circuit defined by said second one of said windows situated on the leading side and the tube.

27. A device for guiding an appliance comprising a guiding rod, and mooring means for releasably mooring the appliance to the guiding rod,

the guiding rod comprising a tube and a guiding wire retractably accommodated in the tube with its leading end protruding from a leading end of the tube,

the mooring means comprising a mooring wire forming an openable closed circuit in cooperation with the tube, the mooring wire being capable of mooring the appliance when the closed circuit is formed by inserting the mooring wire into a portion of the appliance and being capable of releasing from a mooring state when the closed circuit is opened by drawing the mooring wire out of the appliance,

wherein at least a portion of the mooring wire extending from a location on the tube adjacent the mooring position toward a trailing side of the tube is positioned outside of a guiding wire accommodating bore, and

wherein the tube is provided with three longitudinally-spaced windows exposing the guiding wire accommodating bore, the mooring wire being drawn into the guiding wire accommodating bore through a first one of said windows situated toward a trailing side of the tube, then drawn out of the tube through a second intermediate one of said windows, and again drawn into the guiding wire accommodating bore through a third one of said windows situated toward a leading side of the tube, to form the closed circuit defined by the drawn-out portion of the mooring wire and the tube.

28. A device for guiding an appliance comprising a guiding rod, and mooring means for releasably mooring the appliance to the guiding rod,

the guiding rod comprising a tube and a guiding wire retractably accommodated in the tube with its leading end protruding from a leading end of the tube,

the mooring means comprising a mooring wire forming an openable closed circuit in cooperation with the tube, the mooring wire being capable of mooring the appliance when the closed circuit is formed by inserting the mooring wire into a portion of the appliance and being capable of releasing from a mooring state when the closed circuit is opened by drawing the mooring wire out of the appliance,

wherein at least a portion of the mooring wire extending from a location on the tube adjacent the mooring position toward a trailing side of the tube is positioned outside of a guiding wire accommodating bore, and

wherein the tube comprises a pair of tube elements integrally related to each other and having respective wire accommodating bores, one bore serving as a guiding wire accommodating bore accommodating the guiding wire, the other bore serving as a mooring wire accommodating bore accommodating the mooring wire;

and the tube element having the mooring wire accommodating bore is provided with a window exposing the mooring wire accommodating bore to form the closed circuit defined by the window and the corresponding tube element.